How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $426.58 Median $1,122.02 Typical High $1,949.84 | Facility | None | $426.58 | $1,122.02 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | None (both parts) | $426.58 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $302.00 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $660.69 | Facility | None | $478.63 | $478.63 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $691.83 Typical High $794.33 | Professional | None (both parts) | $323.59 | $691.83 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $87.10 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $588.84 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $588.84 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $870.96 | Professional | None (both parts) | $288.40 | $407.38 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $89.13 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $218.78 | $323.59 | $758.58 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Where Delaware sits
The same service costs 5.6 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Delaware· 29th of 51
$479
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.